Organization
PURE HEALTHY BACK
Active
Parent organization
UNIVERSITY NEUROSURGICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY NEUROSURGICAL
Authorized official
SANDRA AZAR (BILLING MANAGER)
(248) 649-2323
Entity
Organization
Contact information
Practice address
1500 W BIG BEAVER RD STE 150, TROY, MI 48084-3552
(248) 649-2323
Mailing address
1500 W BIG BEAVER RD STE 150, TROY, MI 48084-3552
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5501009288
MI
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
About Stedi
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